Organization
BREAKING WALLS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASON GALLMEYER (OWNER)
(317) 701-3384
Entity
Organization
Contact information
Practice address
1079 WOODFIELD CT, GREENWOOD, IN 46143-6846
(317) 701-3384
(317) 869-4398
Mailing address
1079 WOODFIELD COURT, GREENWOOD, IN 46143
(317) 701-3384
(317) 869-4398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006163A
IN
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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